Gregory Michael Ricketts

NPI #1326459454 in Middlebury, Connecticut

Provider Information

NPI Number: 1326459454
Entity Type: Individual
Name: Gregory Michael Ricketts
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Enumeration Date: May 12, 2014
Last Updated: Aug 9, 2021

Practice Location

Address: 1625 STRAITS TPKE STE 200
City: Middlebury
State: Connecticut
ZIP Code: 06762-1836
Phone: (203) 568-2929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Surgery	208600000X	Primary

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